| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,925 |
4,338 |
$178K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,257 |
2,205 |
$113K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,857 |
1,661 |
$97K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,389 |
1,229 |
$92K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,219 |
1,177 |
$88K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,807 |
1,685 |
$76K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
512 |
497 |
$37K |
| 96127 |
|
399 |
375 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
239 |
229 |
$19K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
23 |
19 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
16 |
13 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
32 |
30 |
$1K |
| 83655 |
|
54 |
51 |
$753.59 |
| 90688 |
|
84 |
76 |
$681.76 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
114 |
100 |
$526.29 |
| 85018 |
|
186 |
179 |
$493.64 |
| 90461 |
|
84 |
66 |
$357.34 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
40 |
36 |
$271.46 |
| 90677 |
|
13 |
13 |
$257.09 |
| 90734 |
|
14 |
14 |
$225.86 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$204.48 |
| 36416 |
|
395 |
368 |
$139.48 |
| 90474 |
|
12 |
12 |
$82.32 |
| 81000 |
|
13 |
13 |
$40.50 |
| 90670 |
|
309 |
295 |
$0.00 |
| 90680 |
|
79 |
78 |
$0.00 |
| 90723 |
|
58 |
56 |
$0.00 |
| 90647 |
|
105 |
102 |
$0.00 |